Registration Form
Registration Form
Pur-F-1
Personal Biodata (Part I)
1. Name of Applicant
2. NIC No
6. Business Address:
b.
c.
d.
Note: (You may attach a separate list if the names are more than the given space.)
i)
ii)
iii)
NTN No
Part (IV)
A non-refundable fee of Rs.5,000/- will be paid for registration through bank draft or pay order in the
name of “Fauji Cement Company Ltd”.
If required, will you be willing to deposit security, earnest money, arrange Bank Guarantee, insurance
cover & Performance bond etc. Yes / No.
List of the categories (Part VII)
Indicate the categories in which you desire to be registered by putting a in the box provided for the
purpose. Categories are as under:
1 CONSUMABLES 14 GASES
2 LIQUID FUEL 15 LUBRICANTS
3 COAL 16 VEHICLES
4 ALTERNATE FUEL 17 INDIGENIZATION
5 RAW MATERIALS 18 PRINTING / STATIONERY
6 PACKAGING MATERIAL 19 EXPLOSIVES
7 MECHANICAL PARTS 20 FURNITURE
8 ELECTRICAL PARTS 21 GROCERY
9 INSTRUMENTS 22 MEDICINES
10 LAB ITEMS 23 FREIGHT SERVICE
11 CIVIL 24 SERVICES
12 SAFETY & SECURITY 25 MISCELLENEOUS
13 INFORMATION TECH.
Signature of applicant
Name
Designation
Date
For Office Use Only
Recommendations
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